Thank you for your interest in a scholarship to attend a PMDD Annual Conference. We understand that PMDD and other illnesses can lead to financial hardships. In an effort to make this information available to anyone who needs it, we have a limited number of scholarships to attend the conference online and in-person.

Scholarships do not have to be paid back. Also, scholarships do not include travel or hotel accommodations. Please reach out with any questions you may have about completing the following application.

* Indicates a required field

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3

Which conference are you applying for?Please choose only one per application.

2018 (online only)

2019 (Bournemouth, UK)

2020 (Location TBA)

2021 (Location TBA)

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4

How are you seeking to attend the PMDD Annual Conference?* This field is required

ONLINEIN-PERSON

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5

Are you a patient or caregiver?* This field is required

PATIENTCAREGIVER

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6

Do you suspect that your loved one has or has been medically diagnosed with any of the following?

Premenstrual Dysphoric Disorder (PMDD)

Premenstrual Exacerbation of an underlying disorder (PME)

I am unsure

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7

Do you suspect that you have or have been medically diagnosed with any of the following?

Premenstrual Dysphoric Disorder (PMDD)

Premenstrual Exacerbation of an underlying disorder (PME)

I am unsure

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8

Have you or a loved one experienced a loss of income as a direct result of PMDD, PME, or another mental health condition?* This field is required

YESNO

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9

Please share why accessing this information would be beneficial to you and how a scholarship will help?